Including a Spiritual Dimension in Family Therapy: Ethical Considerations

The inclusion of a spiritual dimension in family therapy theory and clinical practice may well be viewed as an important professional challenge of the nineties. Following a working definition of terms, this paper explores the ethical complexities inherent in operationalizing a spiritual orientation in therapy in light of the following principles adopted from medical ethics: Respect for clients' autonomy, safeguarding clients' welfare, protecting them from harm, and treating them justly and honestly.     

Spiritual Assessment in Genetic Counseling

One hundred and twenty seven full members of the National Society of Genetic Counselors participated in this study exploring current spiritual assessment practices of genetic counselors and reactions to a spiritual assessment tool. While 60% of genetic counselors reported they had performed a spiritual assessment within the past year, fewer than 8.7% of these counselors assessed spirituality in more than half of their sessions. Counselors reporting high perceived relevance of spiritual assessment performed an assessment more frequently than those reporting a low perceived relevance. Barriers to spiritual assessment included lack of time, insufficient skills, and uncertainty regarding the role of spiritual assessment within genetic counseling. Almost two-thirds of counselors expressed that having a spiritual assessment tool would increase their ability to elicit relevant information. These data suggest a need for increased training regarding the methods for and relevance of spiritual assessment in genetic counseling. Recommendations for future directions of research are explored.     

Religious Addiction: Obsession with Spirituality

Religious addiction is a disease only recently recognized; however, it has been with humanity throughout the ages. This obsession with spirituality not only has harmful effects for the individual but also a devastating effect on his/her family. As with any addiction, recovery is possible. This article covers the history of religious addiction, its symptoms and characteristics, and also its downward spiral. The effects on the addict, the codependent spouse, and children are discussed. Recovery, including intervention and treatment, is also covered.     

The Role of Religion and Spirituality in Mental and Physical Health

An increased interest in the effects of religion and spirituality on health is apparent in the psychological and medical literature. Although religion in particular was thought, in the past, to have a predominantly negative influence on health, recent research suggests this relationship is more complex. This article reviews the literature on the impact of religion and spirituality on physical and mental health, concluding that the influence is largely beneficial. Mechanisms for the positive effect of religion and spirituality are proposed.     

The Hard Issues of Life

In pastoral counseling, the practitioner and client face the most difficult human problems. An authentic encounter and subsequent connection with one's fundamental Being often occurs, creating a direct existential knowing of what is. Because there are no directions or steps in a protocol to follow in this process, it is helpful for the client to reframe his/her existential search for Being as a Rite of Passage, comprising three distinct, but not separate stages—the separation phase, the initiation phase, and the return or integration phase. Such a process permits the individual a realization of what is through his/her own life circumstances, as a meaningful progression of spiritual growth.decorated Vietnam combat veteran and a marriage, family, and child counselor specializing in treatment of PTSD     

In defence of the concept of ‘spiritual education’: a reply to Roger Marples

In a paper published in Volume 11, no. 2, of this journal, Roger Marples argued that the term ‘spiritual education’ is at most superfluous and at worst entirely meaningless. He suggested that the use of the term is unhelpful and will continue to be so unless and until we can identify some body of spiritual knowledge and understanding, linked to experience, which is distinct from, and in some sense ‘beyond’, those of moral, aesthetic and other forms of experience.

This paper critique's Marples's thesis. It examines his ploy of admitting only certain forms of knowledge and understanding, and of privileging certain languages, when determining the rules of engagement with the concept of ‘the spiritual’. It is further argued that to require some empirical evidence in the form of personal experience before the words ‘spiritual’ and ‘spiritual education’ can be meaningful is fundamentally misguided. In conclusion, it is suggested that a willingness to embrace the spiritual as concept, experience and awareness is essential to the education of the child as a whole person.     

Religious literacy or spiritual awareness? Comparative critique of Andrew Wright’s and David Hay’s approaches to spiritual education

On the basis of a comparison of the educational approaches of Andrew Wright and David Hay this paper illustrates the persisting problem of dichotomising cognitive and trans‐cognitive aspects of spiritual development and education. Even though both Wright and Hay speak of the same topic – spirituality and spiritual education – they define these terms very differently, and as a consequence, they draw altogether different practical implications, set different priorities, and warn of different dangers in spiritual education. The main question set in this paper is whether it is possible to make room in spiritual education for both of these perspectives and how to combine them in a more holistic way. With the help of the Wilber‐Combs lattice, which is one of the main heuristic devices employed by the integral philosophy, one possible way toward integrating cognitive and trans‐cognitive aspects of spritual development and education is proposed.